Healthcare Provider Details

I. General information

NPI: 1881024255
Provider Name (Legal Business Name): TIMBER RIDGE HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 400 SUITE 403 9401 SW STATE ROAD 200
OCALA FL
34481-3977
US

IV. Provider business mailing address

BLDG 400 SUITE 403 9401 SW STATE ROAD 200
OCALA FL
34481-3977
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-3191
  • Fax: 352-861-2118
Mailing address:
  • Phone: 352-237-3191
  • Fax: 352-861-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. MARILYN M HUNT
Title or Position: OWNER
Credential:
Phone: 352-237-3191